Evidence map›Paper›PMID 26073756›Full record

ArticleThe Journal of allergy and clinical immunology2015

CTNNA3 and SEMA3D: Promising loci for asthma exacerbation identified through multiple genome-wide association studies.

Michael J McGeachie, Ann C Wu, Sze Man Tse, George L Clemmer, Joanne Sordillo, Blanca E Himes, Jessica Lasky-Su, Robert P Chase, Fernando D Martinez, Peter Weeke and 8 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Asthma Exacerbations: Patient Features and Potential Long-Term Implications.Advances in experimental medicine and biology · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Genome-wide association study reveals a novel locus for asthma with severe exacerbations in diverse populations.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2021
    Article
  13. Article
  14. Exacerbation-Prone Asthma.The journal of allergy and clinical immunology. In practice · 2020
    Article
  15. Article
  16. Article
  17. Lessons Learned From GWAS of Asthma.Allergy, asthma & immunology research · 2019
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 2 countries.

Michael J McGeachieChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass. Electronic address: michael.mcgeachie@channing.harvard.edu.
Ann C WuCenter for Child Health Care Studies, Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, Mass; Division of General Pediatrics, Department of Pediatrics, Children's Hospital, Boston, Mass.
Sze Man TseChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
George L ClemmerChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
Joanne SordilloChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
Blanca E HimesDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, Pa.
Jessica Lasky-SuChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
Robert P ChaseChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
Fernando D MartinezArizona Respiratory Center, University of Arizona, Tucson, Ariz.
Peter WeekeDepartment of Internal Medicine, Vanderbilt University School of Medicine, Nashville, Tenn; Department of Cardiology, Copenhagen University Hospital, Gentofte, Denmark.
Christian M ShafferDepartment of Internal Medicine, Vanderbilt University School of Medicine, Nashville, Tenn.
Hua XuHealth Science Center at Houston, University of Texas, Houston, Tex.
Josh C DennyDepartment of Internal Medicine, Vanderbilt University School of Medicine, Nashville, Tenn.
Dan M RodenOffice of Personalized Medicine, Vanderbilt University School of Medicine, Nashville, Tenn.
Reynold A PanettieriAirways Biology Initiative, University of Pennsylvania Medical Center, Philadelphia, Pa.
Benjamin A RabyChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
Scott T WeissChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
Kelan G TantisiraChanning Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass.
Brigham and Women's Hospital · USVanderbilt University · USUniversity of Pennsylvania · USGentofte Hospital · DKHarvard University · USThe University of Texas Health Science Center at Houston · USUniversity of Arizona · US

Funding

THE PHARMACOGENETICS OF ASTHMA TREATMENTU01HL065899 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI TANTISIRA, KELAN G, WEISS, SCOTT T · 2000 to 2014
$38.5M
SOUTHWEST ENVIRONMENTAL HEALTH SCIENCES CENTERP30ES006694 · NIEHS · UNIVERSITY OF ARIZONA · PI DEAN BILLHEIMER · 1994 to 2026
$36.7M
Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
Project 4 - OGR1- and TSPO- dependent mechanisms mediated by benzodiazepines affecting ASM contractionP01HL114471 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PANETTIERI, REYNOLD ALEXANDER · 2013 to 2023
$23.9M
Pharmacogenomics of Arrhythmia TherapyU19HL065962 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2010 to 2014
$17.4M
Natural History of Asthma from Birth to Early Adult LifeR01HL056177 · NHLBI · UNIVERSITY OF ARIZONA · PI GUERRA, STEFANO, MARTINEZ, FERNANDO D · 1996 to 2015
$14.4M
Genetics and Gene Expression Profiling in AsthmaR01HL086601 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI RABY, BENJAMIN ALEXANDER · 2007 to 2015
$6.8M
Atlanta Summer Institute in Biostatistics IIT15HL098122 · NHLBI · UNIVERSITY OF SOUTH FLORIDA · PI WALLER, LANCE A · 2009 to 2015
$1.3M
GENOMICS AND PHARMACOGENOMICS OF SYMPTOMS IN ASTHMAR01NR013391 · NINR · BRIGHAM AND WOMEN'S HOSPITAL · PI TANTISIRA, KELAN G · 2011 to 2013
$1.3M
An Integrative Genomics Approach to Gene by Environment Interactions in AsthmaR00HL109162 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI SORDILLO, JOANNE ELAINE · 2014 to 2016
$743k
INTEGRATIVE GENOMICS APPROACHES TO MODEL THE GENETIC ARCHITECTURE OF ASTHMAR00HL105663 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI HIMES, BLANCA E · 2013 to 2015
$702k
Effectiveness of Pharmacogenetic Testing in AsthmaK08HL088046 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI WU, ANN CHEN · 2009 to 2013
$645k
NHLBI NIH HHS K08 HL088046NHLBI NIH HHS K99 HL105663NHLBI NIH HHS P01 HL114471NHLBI NIH HHS R00 HL105663NHLBI NIH HHS R00HL109162NHLBI NIH HHS R01 HL056177NHLBI NIH HHS R01 HL086601NHLBI NIH HHS U01 HL065899NHLBI NIH HHS U10 HL098122NHLBI NIH HHS U19 HL065962NHLBI NIH HHS U19HL065962NIEHS NIH HHS P30 ES006694NIEHS NIH HHS P30 ES013508NINR NIH HHS R01 NR013391
6 · The paper itself

Abstract

backgroundAsthma exacerbations are a major cause of morbidity and medical cost.

objectiveThe objective of this study was to identify genetic predictors of exacerbations in asthmatic subjects.

methodsWe performed a genome-wide association study meta-analysis of acute asthma exacerbation in 2 pediatric clinical trials: the Childhood Asthma Management Program (n = 581) and the Childhood Asthma Research and Education (n = 205) network. Acute asthma exacerbations were defined as treatment with a 5-day course of oral steroids. We obtained a replication cohort from Biobank of Vanderbilt University Medical Center (BioVU; n = 786), the Vanderbilt University electronic medical record-linked DNA biobank. We used CD4(+) lymphocyte genome-wide mRNA expression profiling to identify associations of top single nucleotide polymorphisms with mRNA abundance of nearby genes.

resultsA locus in catenin (cadherin-associated protein), alpha 3 (CTNNA3), reached genome-wide significance (rs7915695, P = 2.19 × 10(-8); mean exacerbations, 6.05 for minor alleles vs 3.71 for homozygous major alleles). Among the 4 top single nucleotide polymorphisms replicated in BioVU, rs993312 in Sema domain, immunoglobulin domain (Ig), short basic domain, secreted, (semaphorin) 3D (SEMA3D) was significant (P = .0083) and displayed stronger association among African Americans (P = .0004 in BioVU [mean exacerbations, 3.91 vs 1.53]; P = .0089 in the Childhood Asthma Management Program [mean exacerbations, 6.0 vs 3.25]). CTNNA3 variants did not replicate in BioVU. A regulatory variant in the CTNNA3 locus was associated with CTNNA3 mRNA expression in CD4(+) cells from asthmatic patients (P = .00079). CTNNA3 appears to be active in the immune response, and SEMA3D has a plausible role in airway remodeling. We also provide a replication of a previous association of purinergic receptor P2X, ligand-gated ion channel, 7 (P2RX7), with asthma exacerbation.

conclusionsWe identified 2 loci associated with exacerbations through a genome-wide association study. CTNNA3 met genome-wide significance thresholds, and SEMA3D replicated in a clinical biobank database.

Indexed as

AdolescentAdultalpha CateninAsthmaChildChild, PreschoolFemaleGenome-Wide Association StudyHumansInfantMalePolymorphism, Single NucleotideRNA, MessengerSemaphorinsSequence Analysis, RNAYoung Adultalpha CateninCTNNA3 protein, humanRNA, MessengerSema3D protein, humanSemaphorinsAsthmabiobankchildhood asthmaCTNNA3exacerbationexpression quantitative trait locusgenome-wide association studySEMA3D

Identifiers

PMID26073756
PMCPMC4676949
OpenAlexW1541317073

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.